HomeMy WebLinkAboutELMRICH VILLAS #4 Block 5 Lot 4 Public Information
GAAB,HD-I
GR~'ER ANCHORAGE AREA BOROL'"'"'~I
Dr.,AFITMENT OF ENVIFi0NMENTAL 0.UALI~~,
3500 TUDOR ROAD ANOHOFiAGE, ALASKA ggs07 27g-8585
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY /',¢:¢ ¢u L~ GALLONS.
NUMBER OF
MATERIAL '~'"'~7 -'~---~-"~(-- COMPARTMENTS
INSIDE LENGTH ~ INSIDE WIDTH '~""--'
LIQUID
DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS f OUTSIDE DIAMETER
LINING MATERIAL c~!~-~J~J~
NEAREST LOT LINE.
OR WIDTH_ ., LENGTH , DEPTH ~' /
DISTANCE FROM WELL. ~,L, ~,. ~".i', BUILDING FOUNDATION ~ '~ /',
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 'JT~"/"',"~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION , NEAREST LOT LINE
~~CE BETWEEN LINES "~ TRENCH WIDTH
NUMBER
OF
LINES
ABSOR SQ. FT. LENGTH OF EACH LINE
DEPTI-H~. TOP oI~rlLE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL: ~L~,~".?-'~,.~- ~-/,~ '/'""'2'"'-~"~'"'~"~:~::~ DISTANCE FROM
TYPE ,,,~':,'~'.~--/~"~ : DEPTH //, BU LDING FOUNDATION._ ~ WATER
SAMPLE
NEAREST /.~....~ S E P TI C / SEEPAGE
LOT LINE / , SEWER LINE , TANK , SYSTEM z.----~,--CESSPOOl
NEAREST
OTHER
SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
G.A.A.B.
GReAiER ANCHORAGE: ARE:A BORULJGN
DEPARTM~:NT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-S5'0
ANCHORAGE, ALASKA 99502
TELEPHONE 27~-B686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME OF APPLICANT C. .4' PHONE
iNSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRA~N FIBgD , OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
~~/ /~//~/~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
RESULTS
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE TYPe SIZE / ~/ /
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGe PIT WALL
SEPTIC TANK , SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD,
, DRAIN FIELD
., DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDEr AREA WELLS.
DIAGRAM OF SYSTEM
WATER MAIN TO SEPTIC TANK .
DRAIN FIELD
SEEPAGE PIT .
SEPTIC TANK, . SEEPAGE PIT
TO riVEr, LAKE, STREAM.
DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIE~ CROSSING GAP Of
EXCAVATION 5 FEET iNTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
PITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER aNCHORAGE A~ BOROUGH ORDINANCE NO. 28-6S AND THAT THE ABOVE
DESCRI SYSTEM IS IN ACCORDANCE WITH SAID CODE.
Legal Descrlo~ion: Loc ~_ Block
This Fcrm Repop~s a: Soils Log
' 'P~P¢ola~zon fes~
Location Sketch
Depth
F~o~ Soil Charac~ eris'~ics
: Was G~ound Wa%e~ Encoun~e~ed?
tf Yes, Ai Wha~ Depth ../ '
' Reading
;; :i Net Time
ba~e I G~oss Time ~.
Depth To H20 Ne~ Drop
Pro.5osed. inst al~'i-~n~Seepage. Piz .-:-~ .... Drain Field
lnle~ Dap'~h To bo'~tom Of Pit Or Trench
~/~,2~ ,'- / ,,' k,~,-;' :.,_.. ; :j ,/).~_ ,/.2,,g~
Dace. /~.-~ ~ , .
l
G,..cA~ER-ANCHORAGE AREA BORO. Uu,.
ANCHORAGE, ALASKA 99507
279~8686
INSPECT:
-TIME:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER AND WAT£R-FACILITI.ES
FOR
APPROVAL REQUESTED BY:
ADDRESS: ~ ~/ ~"~
PHONE: ,
2. PROPERTY OWNER: PHONE:
NUMBER OF BEDROOMS: / m /
5. WELL DATA:
A.
B. DEPTH
C. SIZE
D. CONSTRUCTION
E. BACTERIAL ANALYSIS
SEWAGE DISPOSAL SYSTEM:
A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK)
1. SIZE
2. AGE
4. INSTALLER
APPROVAL REQUL~¥. FOR SEWER & WATER FACILI.
PAGE TWO ' '
SEEPAGE PIT
2. LINING- ~'~'~ ~'~''7L~ r) ~--~.~'
DISPOSAL ~k~ELD
1. NUMBER\D,~vLINES
2. TOTAL LENGTH
7. REQUIRED MEASUREMENTS
A. WELL TO SEPTIC TANK
B. WELL TO SEEPAGE PIT
C. WELL TO SEWER LINE
D. WELL TO PROPERTY LINE
E. WELL TO OTHER POSSIBLE CONTAMINATI-ON
F. FOUNDATION TO SEPTIC TANK
G', FOUNDATION TO SEEPAGE PIT "7~.~
H. SEEPAGE PIT TO PROPERTY LINE
8. COMMENTS:
APPROVED ISAPPROVED:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL -'-ALI!'
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
Form Approved ~ , .
Budget Bureau ~o. 63.R0296
INSUIING OFFICE
MATANUSKA VALLEY BANK
Herman K. Rainboldt
SU~'OIVI$10N NAME
.TOTAL NUMIIIh
1 I 2 1
~ATTR SUI~LY DY:
[~ Public system
Sk'WAGE DI~IK)SAL BYz
El Public system
PART i.--TO BE 'COMPLETED BY FHA
MORTGAGEE
MATANUSKA VALLEY BANK
IPROPERTY ADDRESS
381 Fern Street
Anchorage, Alaska.
|
BASEMENT J [] New installation
/
El Community system
~'~ Community system
SERIAL NO,
T ~LOCK NO. LOT NO.
(If Yes, how
SYS~ DESIGNED
~ IndividuM I NO Of IDIM$ OAllAOi
PART II.--TO lie COMPLETED BY HEALTH DEPARTMENT
HEALTH DEpARTMEI~IT INSPECTOR'S SKETCH
It is the opm,on of the [] State r-] County [] Local Department of Health that this individual water-supply system
[] is' [] is not ~tisfactory as a domes.c water supply for the sublect property. C.A.U.
It is the.9~inion of the [--l State ['7] County [] Local Dep:trtment of Health that this individual
sewage.disposal
sys-
tem wire proper maintenance:
~Can be expected to function satisfactorily, and r-1 Cannot b~ expected to function satisfactorily
is not likeTy to create an insanitary condition
,- ' - '"~---':/.' .
n,r. 7, 1'9711 '~~ (7~" ~':-~.. _. ]Environmental. Speqialist"
Use of the above g~d for Health' Department Inlpe~tOr'l sketch el well os ule of the bock of this form Il at the option of the
hea~ ou~ority.
PART Ill.--FOR USE' OF FHA OFFICE
TO THE CHIEF UNDIRWRIT~R:
! have reviewed the foregoing and the pertinent FHA Compli'ance ldsp~cfion Report. and recommend that the
Individual water-supply system be considered [] Acceptable [] Not Acceptable
Sewage disposal be considered
DAT~
]Acceptable [] Not Acceptable.
SIGNATURE
FHA Form 2D73
June 1, lg71
Federal tlousi nfl Admtnt stratt on
Dox 400
A~cnorage, Alaska 99501
Subject: On Site Sewage 'Disposal for Lot 4, Block 5
Elmrich Villas Subdivision Add ~4.
Lot owoer: L.W. Jones.
Uear Sir:
Public sewers are not a~ailable to the subject lot so
tha~ sewage disposal must be by septic tank - soil
absorption syscem. Soil tesCs fro~) lots adjacent to
tNe subject lot show acceptable conditions for on-~ite
sewa~le dispr~sa) and t~ is prot~able than an approved
sewage disposal system can be installed on t~)e subject
lot.
Sincerely,
John P,. Lee, R.S.
Sani tariat;
kP~ly